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Blood circulate. No duties hanging over your head and all that. For decades, diabetes medical doctors, educators, and patients have all identified one easy truth: High blood sugar over time is unhealthy news. The excessive flow overcomes labored respiratory and generates constructive pressure within the alveoli. Arterial blood gases on ICU admission showed: pH 7.47, PaCO2 42 mm Hg, PaO2 62 mm Hg, and HCO3_ 38.Four mmol L_1 with mechanical ventilation (BiPAP with stress assist 10 cm H2O) and 0.6 FiO2. After 24 hours her very important indicators have been as follows: coronary heart price 106 beats per min, blood pressure 140/90 mm Hg, respiratory rate 18 breaths per min, and temperature 38.0癈. Arterial natural blood sugar balance gases confirmed: pH 7.48, PaCO2 41 mm Hg, PaO2 64 mm Hg, and HCO3_ 36.4 mmol L_1 with HFNC (stream: Forty five L min_1, FiO2 0.8, 37癈). Colimycine and carbapenem antibiotic therapy was started and the patient was transferred to an strange hospital 72 hours after extubation. 4 cm H2O, Vt 450 mL, FR 12 per min, expiratory cycle 35%, FiO2 0.8) and was admitted to our intensive care unit (ICU). Using NIV was refused because of excessive threat of barotrauma, but we used a excessive flow nasal cannula (HFNC) (Fisher & Paykel Healthcare AIRVO 2, Panmure, New Zealand) with 1.Zero FiO2. |
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